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Prioritization Among School Nurses: An Integrative Review of the Literature
Melissa I Calvillo1, Susana J Calderon1, Maureen Rabbitte1
1Mennonite College of Nursing, Illinois State University, Normal, IL, USA.
Summary
School nurses, managing 750-1,000 clients, struggle with prioritization due to competing demands. Enhancing collaboration and evidence-based practices can improve care, but high workloads remain a barrier.
Area of Science:
- Nursing
- Public Health
- Healthcare Management
Background:
- School nurses manage high caseloads (750-1,000 clients), facing numerous competing demands.
- Effective prioritization is crucial for school nurses to prevent missed care opportunities and ensure student health.
- Existing literature on school nurse prioritization in the U.S. requires synthesis.
Purpose of the Study:
- To conduct an integrative review of the literature on prioritization strategies used by school nurses in the United States.
- To identify key themes influencing prioritization behaviors in school nursing practice.
- To highlight facilitators and barriers to effective prioritization in school nursing.
Main Methods:
- An integrative review methodology was employed to synthesize existing research.
- Literature search focused on prioritization among school nurses within the United States.
- Identified themes were analyzed to understand prioritization dynamics.
Main Results:
- Three primary themes emerged: knowledge, attitudes, and values; self-efficacy and intention to act; and the nursing process.
- Organizational and community collaboration, along with evidence-based practice, can facilitate prioritization.
- High workloads and insufficient resources are consistently reported as significant barriers.
Conclusions:
- Effective prioritization by school nurses is influenced by individual factors, professional processes, and external support.
- Addressing barriers such as high workloads and resource limitations is essential for improving school nursing practice.
- Further research is needed to develop strategies that enhance school nurse prioritization for better population health outcomes.
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